Mountain States Health Alliance

NPI #1073782900 in Lebanon, Virginia

Provider Information

NPI Number: 1073782900
Entity Type: Organization
Organization Name: Mountain States Health Alliance
Primary Specialty: Anesthesiology
Enumeration Date: Feb 25, 2008
Last Updated: Feb 25, 2008

Practice Location

Address: 58 CARROLL STREET
City: Lebanon
State: Virginia
ZIP Code: 24266-4510
Phone: (276) 883-8000

Authorized Official

Name: MR. MARVIN H. EICHORN
Title: SENIOR VICE PRESIDENT AND CFO
Phone: (423) 431-1017

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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